Post on 11-Oct-2020
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STANDARD TWINNING PROJECT FICHE
1. Basic Information
1.1 Publication notice reference: EuropeAid/ 137-675/IH/ACT/HR
1.2 Programme: Transition Facility IPA/2013/24986 (Annex of C(2013) 8057 final)
1.3 Twinning Number: HR 14 IB SO 03
1.4 Title: Education of mentors for nurses and midwives in Health System in Croatia and full
implementation of the educational curriculums adjusted with Directive 2005/36/EC (CRO NURSE)
1.5 Sector: Health/social sector projects
1.6 Beneficiary country: Republic of Croatia
2. Objectives
2.1 Overall objective:
The overall objective of the project is to improve the health system and health services in the
Republic of Croatia.
2.2 Project purpose:
The purpose of the project is to improve the quality of education of nurses and midwives by training
their mentors and improving the mentoring system.
2.3 Contribution to Accession Treaty/Relevant national documents:
Following the signature of the Accession Treaty on 9 December 2011 by the heads of State or
Government of the 27 Member States (MS) and the Republic of Croatia and its ratification
procedure, Croatia joined the European Union (EU) on 1 July 2013. Accession Treaty of the
Republic of Croatia to the European Union states in the Article 36 that Commission shall monitor all
commitments undertaken by the Republic of Croatia in the accession negotiation.
The Republic of Croatia has implemented the Directive 2005/36/EC into Croatian legislation,
however full implementation of the Directive will be achieved through this project which is
envisaged to improve the quality of education of nurses and midwives. The Accession Treaty
includes adaptation of the Article 23(5) of the Directive and inclusion of Article 43(b) in the
Directive, related to the recognition of professional qualification, inter alia, of nurses and midwives
from the Republic of Croatia.
National Health Care Strategy 2012-2020 includes measures within the framework of eight
priorities. Majority of measures that are set in the Strategy should directly or indirectly influence the
improvement of work of health care workers. Nevertheless, three measures1 within Priority 2:
1 Measure 2.1: Drawing up the Strategic plan of human resources development in health care; Measure 2.4: Enabling
achievement of higher levels of education for all health care workers; Measure 2.5 Defining competences and enabling task
shifting in accordance with the higher level of the achieved education of health care workers.
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Strengthening and better use of human resources in health care are specifically focused on
strengthening competencies of health care staff, which combined with other measures, should
contribute to improvement of the horizontal and vertical mobility of health care staff.
Strategy has identified that the field of nursing education is insufficiently regulated, with unclear
qualifications and competencies acquired in various existing forms of education. Moreover, the need
for higher quality distribution of competences and achievement of higher levels of education for
nurses and midwives is identified, as well as the need to create additional possibilities in order for the
higher levels of education to be properly recognized (through professional advancement, task
shifting, organizational changes etc.).
Formal competencies acquired within the basic education program for nurses and midwives are
useful in the real sector only in case they are supported with the obtained practical skills and
knowledge. In order for this to be achieved, trained mentors need to undergo specific training
programme and obtain the required knowledge. This Twinning project is envisaged to support
establishment of the educational system which will provide the required basis for enhancement of
competences, knowledge and skills of nurses and midwives in line with the requirements set by the
EU regulations and the national strategic priorities.
3. Description
3.1 Background and justification:
Since 2011 education of nurses and midwives in the Republic of Croatia was revised in line with the
Directive 2005/36/EC, reviewing nursing education from the secondary level education perspective
and midwifery education from the higher education perspective.
According to this Directive, which was transposed into national law the basic education of nurses is
secondary education of ten years, followed by three years vocational school/vocational training
programme and undergraduate education of twelve years giving access to universities or higher level
education institutions.
In that effect in the Republic of Croatia ten years of secondary education is comprised of eight years
of elementary school and two years of general education in medical school. In additional three years
of medical school nurses, according to the Directive, obtain theoretical and practical education of
4600 hours in order to qualify as “nurse responsible for general care” (of which 2300 hours is clinical
practice). New curriculum for nurses responsible for general care, a three-year vocational
programme, in compliance with the Directive, is being implemented in vocational schools for nurses
since school year 2010/11 when five-year secondary school was introduced. One of the relevant
modifications in curriculum was cancelation of internship in the fifth year of the secondary school
and introduction of clinical practice. In order to implement the clinical practice qualified mentors are
needed. There is also a title “nursing graduate” (referring to nurses who have completed additional
undergraduate study in duration of three years) - such nurse is responsible for planning,
implementing, evaluating and organizing health care of the patient.
Regarding vertical education of nurses in the Republic of Croatia, currently there is a five-year
medical secondary school. According to the Croatian Qualifications Framework the five-year high
school education in nursing qualifies as the fourth level of education while the fifth level refers to
various short-term programmes and professional trainings in nursing before actually entering
university level education. Moreover, there are also undergraduate professional and undergraduate
university studies in nursing which represent the sixth level of education and graduate and specialist
studies in nursing as the seventh level. Postgraduate studies in biomedicine and health form the
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eighth level of the qualification framework, and which recently opened the possibility to obtain the
title of Doctor of Science in Nursing.
The biggest change introduced in the national legislation on the bases of the Directive was related to
education for midwives. Basic education for midwives, in line with Directive, is bachelor in
midwifery and therefore, additional curriculum program for “midwifery assistant” was established.
As midwifery assistants, the former midwives do not have the license for independent work and in
order to gain it they need to undergo another three years of bachelor education.
Mentoring (training) system for the nurses and midwives according to the Directive is transposed to
national legislation of the Republic of Croatia, however it is not yet established. Mentors who should
perform a much larger volume of work are not yet trained and provide mentoring without getting
proper education. This applies to nurses employed in health institutions as well as to teachers in
medical school/schools for nurses and universities (which carry out both theoretical teaching and
clinical exercises). Additional qualified mentors are needed within the undergraduate study for
clinical training exercises since the mentoring is done by “nurse graduate” from the health
institutions.
The teachers in schools need to additionally develop their knowledge and experience regarding
clinical practice while mentors in health care institutions need to be additionally educated in
pedagogical skills and in successful implementation of clinical practice in certain specialty areas. As
the number of nurses and midwives on bachelor level is rapidly increasing, focus of the project
activities will be on mentors of this level.
Therefore, additional education of all mentors is essential for establishing direct links between
teachers in schools who perform theoretical classes and mentors in healthcare institutions who
perform clinical exercises in order to be able to carry out the practice and enable education of
students following the principles of the Directive. This project will positively affect the dual tasks
that await all mentors as both health and education professionals and ensure quality of the
performance of clinical practice.
Currently in the Republic of Croatia teachers in medical school and mentors in the health facilities
are awarded mentoring position (permanent employment) based on the following criteria: completed
undergraduate or graduate program, three years of experience, certificate of no criminal record and
passed certification exam in the relevant field. These criteria are planned to be redefined through this
Twinning project in order to be in line with the acquis and national legislation.
Ordinance on the Internship of the Health Workers (OG 2/2011, 14/2013) describes the place to
perform internship and the profile of staff that can provide internship to health workers. Moreover,
the Ordinance defines that health workers who have completed internship and passed the professional
exam and then gained a higher level of education in the same health orientation with at least one year
of experience within the same health orientation, are not obliged to repeat the same internship, they
only have to pass the exam. On the other hand, in case a health worker, after completion of internship
and professional exam, gained a higher level of education in other health care orientation, he or she
needs to complete additional internship. There is a possibility to shorten duration of the additional
internship, however only in case the internship program was completed in compliance with the
internship program for higher levels of education.
This Twinning project will develop educational plan and programme for the mentoring system for
nurses and midwives based on which theoretical and practical education will be provided to the
identified mentors for nurses and midwives. Since trained mentors will obtain both theoretical and
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practical knowledge, they will be enabled to help students to transfer theory into practice and to
facilitate education of future generations of nurses and midwives (thus ensuring sustainability).
Trainings envisaged under the project will be implemented through different methods with the
purpose of maximizing the knowledge transfer and ensuring sustainability of the obtained
knowledge. Besides workshops and practical trainings, two study visits are envisaged for Croatian
experts engaged in cooperation with MS Twinning partners on preparation of mentoring plan and
programme for nurses and midwives. These study visits will enable Croatian experts to acquire first-
hand experience and good practice of the mentoring system for nurses and midwives in a Member
State. A sufficient number of mentors for nurses and midwives will be properly trained on providing
theoretical instructions on nursing and midwifery care and will be also enabled to completely carry
out practical work in the clinical departments of hospitals. The results envisaged under this project
will aim to establish high quality mentoring system for nurses and midwives that will lead to
improvement of health care services in Croatia.
3.2 Linked activities:
Transition facility “Education of mentors for nurses and midwives in Health System in Croatia
and full implementation of the educational curriculums adjusted with Directive 2005/36/EC
(Supply component)
This Twinning project is part of the overall project which consists of two components: Twinning
and Supply. The Supply component will include procurement of the equipment for educational
centres in hospitals for nurses and midwives in order to make sure that adequate practical training
will be provided for mentors of nurses and midwives under the framework of the Twinning
component. The Twinning contract is foreseen to start simultaneously with the Supply component. It
is expected that the equipment will be in place during the fifth month of the Twinning project
implementation. Therefore, training activities for which the above mentioned equipment is needed
will be performed in the second half of the Twinning project i.e. after the purchase of the equipment.
The Supply component of the overall project is currently in the preparation phase.
IPA 2008 “Rising the knowledge and skills of nurses and midwives and harmonizing educational
curricula with Directive 2005/36/EC” (HR/2008/IB/SO/01 TL; MS Twinning partners: Finland)
This Twinning light project started in February 2011 and ended in August 2011. The following results
were fulfilled: Bridging Programme I for nurses with less than 3 years of work experience and
completed secondary education enrolled before academic year 2010/2011 (relevant for nurses who
may want to use the opportunity to work in the EU countries and as a supplementary education for the
previous curriculum); Bridging Programme II for nurses (related to new programme for internship);
nurse teachers handbook for bridging programmes; Bachelor on Midwifery Programme; Study-As-
You-Work Programme for the bachelor on midwifery and Bridging Programme for midwives that
completed higher nursing education and are working as midwives. The IPA 2008 project has
identified that in the Republic of Croatia mentoring (training) system for the nurses and midwives
according to the Directive 2005/36/EC is not established and it is necessary to continue with the
implementation of the project results.
This Twinning project will build upon the results and recommendations of the IPA 2008 Twinning
light project through development of plan and programme for mentors of nurses and midwives and
providing education (theoretical and practical) to the identified mentors for nurses and midwives. The
established mentoring system for nurses and midwives will confirm and completely implement the
educational programmes that were developed through the IPA 2008 Twinning light project.
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TAIEX activities:
October 2009 workshop; topics: how to reach international standards of transparency and
therefore be open to the public and especially the stakeholders in this process to set up
monitoring systems for the implementation of Directive 2005/36/EC which is above the
individual government ministries, defining the roles in this process
July 2009 workshop; topics/conclusions: it is recommended to the Croatian Government to
urgently restructure the Croatian educational system:
a) from primary to university level
b) in order to ensure that prospective midwifery students have the prerequisite
education and training (min. 10 years general school education, art. 40, 2.a, of
Directive 2005/36/EC, in practice meaning: primary school, gymnasium) prior to
accessing university.
January 2008 workshop; goals/topics: to provide the participants with the relevant information
related to Directive 2005/36/EC and other relevant EU developments. The aim was to develop a
mutually agreed implementation strategy including the development of clear recommendations.
The working sessions dealt with: developing the Croatian National Nursing (and Midwifery)
Strategy; developing the Croatian National Nursing (and Midwifery) Strategy in the light of EU-
accession; curricula; peer reviews. The aim was also to finalize the recommendations and to seek
options with key players to implement the recommendations.
April 2007 workshop; topics/conclusions: peer review, forms of outside assistance, such as the
Dutch MATRA-programme (specifically MATRA-flex), TAIEX as well as a EU-twinning
instrument; to develop new midwifery curriculum, mandatory national curriculum of at least
three years; there should be the opportunity for train-the-trainer programmes in order to further
enhance the development and implementation of the new curriculum; to develop and implement
a midwifery law in line with Directive 2005/36/EC.
January 2007 workshop; topics/conclusions: how to develop a peer review related to education,
training and practice of nurses and midwives, possibly to be expanded to other health professions
(doctors, dentists, pharmacists) and act in conformity with the outcomes thereof; to ask
assistance from the EU in this field, for instance by means of further TAIEX-missions, one or
more Twinning projects or other options; to provide the means to the Croatian Nurses
Association as well as to the Croatian Midwifery Association to have their representatives fully
participate in this process other than on voluntary basis; to bring the general educational system
up to European standards required for the process of mutual recognition of qualifications to
become relevant, to bring the regulatory system for nurses and midwives (and possibly for other
health professions) in line with European requirements, thus effectively implementing the mutual
recognition system for nurses and midwives (and other health professions); to not only safeguard
the required legal changes but to develop and execute clear implementation plans as well.
3.3 Results:
Result 1: Educational plan and programme for mentors of nurses prepared
Indicators of achievement:
Mentors for nurses selected
Analysis of the current educational programmes for nurses conducted and analysis report with
recommendations prepared
TNA analysis of nurses and mentors for nurses conducted and TNA report prepared
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Educational plan and programme, including educational materials for nurses prepared2
Result 2: Educational plan and programme for mentors of midwives prepared
Indicators of achievement:
Mentors for midwives selected
Analysis of the current educational programmes for midwives conducted and analysis report with
recommendations prepared
TNA analysis of midwives and mentors for midwives conducted and TNA report prepared
Educational plan and programme, including educational materials for midwives prepared3
Result 3: The mentoring system for nurses at national level improved
Indicators of achievement:
Trainings for at least 80 mentors for nurses organized and conducted
Study visit for 10 experts conducted and study visit report prepared
Evaluation of the trainings conducted and evaluation report with recommendations related to
implementation of educational programme prepared
The mentoring system for nurses at national level improved
Result 4: The mentoring system for midwives at national level improved
Indicators of achievement:
Trainings for at least 40 mentors for midwives organized and conducted
Study visit for 6 experts conducted and study visit report prepared
Evaluation of the trainings conducted and evaluation report with recommendations related to
implementation of educational programme prepared
The mentoring system for midwives at national level improved
3.4 Activities:
The activities listed below represent the minimum activities to be implemented in the course of
the Twinning project. Member State(s) may propose additional activities in line with the
methodology elaborated in its proposal.
Activities linked to Result 1:
1.1 Developing criteria for selection of mentors for nurses; selecting mentors for nurses based on
the developed criteria
1.2 Conducting analysis of the current educational programmes for nurses and preparing analysis
report with recommendations4
1.3 Conducting TNA analysis of nurses and mentors for nurses and preparing TNA report
1.4 Preparing educational plan and programme, including educational materials, for mentors of
nurses through train-the-trainers system5
2 The prepared educational plan, programme and materials will be translated into Croatian language and will be used by mentors
for nurses in future trainings. 3 The prepared educational plan, programme and materials will be translated into Croatian language and will be used by mentors
for midwives in future trainings. 4 Analysis will cover educational programmes for basic (general) education and study programmes for nurses.
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Activities linked to Result 2:
2.1 Developing criteria for selection of mentors for midwives; selecting mentors for midwives
based on the developed criteria
2.2 Conducting analysis of the current educational programmes for midwives and preparing
analysis report with recommendations
2.3 Conducting TNA analysis of midwives and mentors for midwives and preparing TNA report
2.4 Preparing educational plan and programme, including educational materials, for mentors of
midwives through train-the-trainers system6
Activities linked to Result 3:
3.1 Organizing and conducting regional trainings for at least 80 mentors for nurses in Zagreb, Split,
Rijeka and Osijek7
3.2 Conducting one study visit for 10 experts working with MS Twinning partners on preparation
of educational plan and programme for mentors of nurses and preparing study visit report
3.3 Conducting evaluation of the trainings and preparing evaluation report with recommendations
related to implementation of educational programme
3.4 Improving the mentoring system for nurses at national level
Activities linked to Result 4:
4.1 Organizing and conducting regional trainings for at least 40 mentors for midwives in Zagreb,
Split, Rijeka and Osijek8
4.2 Conducting one study visit for 6 experts working with MS Twinning partners on preparation of
educational plan and programme for mentors of midwives and preparing study visit report
4.3 Conducting evaluation of the trainings and preparing evaluation report with recommendations
related to implementation of educational programme
4.4 Improving the mentoring system for midwives at national level
Minimum two visibility events will be organized in the course of the implementation of the project;
Kick-off meeting at the start of the implementation and the Final meeting at the end of the
implementation of the project activities.
3.5 Means/ Input from the MS Partner Administration:
MS Project Leader may participate in the project also as the short-term expert (STE) and in this case
the MS Project Leader should satisfy requirements stipulated in the fiche for both Project Leader and
the relevant STE profile.
5 The prepared educational plan, programme and materials will be translated into Croatian language.
6 The prepared educational plan, programme and materials will be translated into Croatian language.
7 The practical trainings will include training equipment procured through the supply component of the overall project. It is
envisaged that the trainings will involve the following participants: 40 mentors from universities, 20 mentors from vocational
schools and 20 mentors from health institutions. 8 The practical trainings will include training equipment procured through the supply component of the overall project. It is
envisaged that the trainings will involve the following participants: 20 mentors from universities, 10 mentors from vocational
schools and 10 mentors from health institutions.
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3.5.1 Profile and tasks of the Project Leader
Profile of the Project Leader
Requirements:
University level education or equivalent professional experience of 10 years in health care
Minimum 6 years of experience in health system
High ranking official
Working level of English language
Computer literacy
Experience in project management
Proven contractual relation to public administration or mandated body, as defined under
Twinning Manual 5.4.5
Asset:
Experience in implementation of EU funded projects in the health sector
Tasks of the Project Leader:
Overall coordination and co-managing of the implementation of the project in cooperation with
the BC Project Leader
Ensuring backstopping and financial management of the project in the MS
Coordination of MS experts’ work and availability
Ensuring sound implementation of the envisaged activities
Monitoring and evaluating the BC needs and priorities, the quality of short term experts, project
risks, progress against the project budget, benchmarks, and outputs, and taking any necessary
remedial action
Project reporting
Participation in Steering Committee meetings
Organization of study visits
3.5.2 Profile and tasks of the RTA
Profile of the Resident Twinning Advisor
Requirements:
University level education or equivalent professional experience of 10 years in health care
Minimum 4 years of working experience as nurse or as midwife
Working level of English language
Computer literacy
Experience in project management
Proven contractual relation to public administration or mandated body, as defined under
Twinning Manual 5.4.5
Assets:
Experience as mentor for nurses
Experience as mentor for midwives
Tasks of the Resident Twining Adviser:
Support and coordination of all activities in the BC
Day to day management of the project in the beneficiary institution
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Advising on related EU policies and best practices, legislation and regulations, and assisting
Croatian administration in the context of project work plan
Executing administrative issues (e.g. assisting in reporting)
Coordination and assistance to the short-term experts
Monitoring project implementation and proposing corrective measures, if required
Organization of PIU and Steering Committee meetings
Participation in Steering Committee meetings
Organization of visibility events (kick-off and final event)
Networking with stakeholders of the project in BC and in MS
The duration of the RTA secondment is 12 months.
3.5.3 Profile and tasks of the short-term experts
For each of the proposed experts in the submitted proposal the Member State(s) is kindly requested to
indicate the expert’s profile.
Profile of the Short-term expert 1 (STE 1)
Requirements:
University level education or equivalent professional experience of 8 years in health care
Minimum 3 years of working experience as nurse
Working level of English language
Computer literacy
Proven contractual relation to public administration or mandated body, as defined under
Twinning Manual 5.4.5
Asset:
Experience as mentor for nurses
Tasks of the Short-term expert 1:
Developing criteria for selection of mentors for nurses; selecting mentors for nurses
Conducting analysis of the current educational programmes for nurses and preparing analysis
report with recommendations
Conducting TNA analysis of nurses and mentors for nurses and preparing TNA report
Preparing educational plan, programme and materials
Organizing and conducting regional trainings for mentors of nurses
Conducting evaluation of the trainings and preparing evaluation report with recommendations
Improving the mentoring system for nurses at national level
Profile of the Short-term expert 2 (STE 2)
Requirements:
University level education or equivalent professional experience of 8 years in health care
Minimum 3 years of working experience as midwife
Working level of English language
Computer literacy
Proven contractual relation to public administration or mandated body, as defined under
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Twinning Manual 5.4.5
Asset:
Experience as mentor for midwives
Tasks of the Short-term expert 2:
Developing criteria for selection of mentors for midwives; selecting mentors for midwives
Conducting analysis of the current educational programmes for midwives and preparing analysis
report with recommendations
Conducting TNA analysis of midwives and mentors for midwives and preparing TNA report
Preparing educational plan, programme and materials
Organizing and conducting regional trainings for mentors of midwives
Conducting evaluation of the trainings and preparing evaluation report with recommendations
Improving the mentoring system for midwives at national level
Note: The pool of experts should include:
- At least one short-term expert who in addition to the respective profile requirements has experience
as mentor for nurses
- At least one short-term expert who in addition to the respective profile requirements has experience
as mentor for midwives
- At least one short-term expert who in addition to the respective profile requirements has experience
in preparing educational programme for nurses or midwives
4. Institutional Framework
Ministry of Health is the main beneficiary of this project. It is responsible for adoption and
implementation of all legislation related to nurses and midwives (the main legislation includes the
Act on Nursing – OG 121/03, 117/08, 57/11 and the Act on Midwifery – OG 120/08, 145/10). The
Ministry of Health is also in charge of conducting professional exams for nurses and midwives and
issuing approval for mentoring. The Ministry of Health has in total 420 employees.
Implementation of the educational programmes for nurses and midwives is supervised by the
following responsible bodies which will be involved in this project as stakeholders:
Ministry of Science, Education and Sport – in charge of administrative and other activities in the
following areas: development of the educational system; preschool education, elementary school
and secondary school education in the country and abroad; professional education and permanent
education; national curriculum and textbooks; educational standards; student standards;
inspection and pedagogic control; establishment of educational institutions and control of their
compliance with the laws; securing financial and material conditions; etc.
Agency for Vocational Education and Training and Adult Education – responsible for
development of qualifications based on competences and learning outcomes; continuous
alignment of education with Labour Market Needs; building Vocational Education Training
system that enables lifelong learning and mobility; defining roles of teachers in learning
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outcomes oriented system; establishing quality assurance system; etc. The Agency is a public
institution, founded in June 2010.
Agency for Science and Higher Education – in close cooperation with higher education
institutions, scientific organisations and other stakeholders in the area of higher education and
science the Agency aims at quality improvement of higher education and science, as well as
opportunities to acquire specific educational levels; dissemination of reliable information on the
quality of academic standards; comparing the achieved standards and quality levels with the
quality and standards of similar institutions in the country and EU; etc.
In addition to the above, the project stakeholders also include the following institutions and
associations in the field of nursing and midwifery:
Croatian Nursing Council – the regulatory body/competent authority for the nursing profession
in the Republic of Croatia. The Council is responsible for: maintaining a register of qualified
nurses; issuing, renewing and withdrawing of licenses; conducting professional supervision;
setting the standards, content, terms and procedure of continuous education and verification of
the competence of nurses; ensuring that nurses conduct according to Code of Ethics; setting
professional standards; recognition of professional qualifications. The main goal of the Council
is to protect the public by ensuring qualitative, responsible and ethical nursing care.
Croatian Chamber of Midwives – protects rights and interests of midwives, promotes the identity
and dignity of the profession and contributes to improvement of midwifery education and
legislation. Its tasks include: informing, educating, empowering and connecting midwives;
promotion of work, rights and interests of midwives; encouraging high quality of work and
transparent adaptation to EU standards.
Croatian Nurses Association – non-governmental association that gathers nurses from the
Republic of Croatia with goals that include: promotion of health care; cooperation with civil
society organizations; improving the quality of nursing care through continuous professional
development aligned with international standards; increasing diversity and accessibility of
education of nurses, from vocational schools to scientific area. As a national association
representative of nurses of the Republic of Croatia, the Association is also a member of the
International Council of Nurses (ICN), European Federation of Nurses Association (EFN),
Nursing and Midwifery Associations (NMA) and the World Health Organization (WHO).
Croatian Association for Promotion of Midwifery – non-governmental association established
with the purpose of protecting and promoting midwifery and parenting.
Moreover, mentors for nurses and mentors for midwives from Croatian public hospitals (4 clinic
hospital centres – Zagreb, Rijeka, Split, Osijek), universities (Zagreb, Rijeka, Split, Osijek), schools
(School for Nurses – Zagreb) and elderly care centres will be trained in the course of implementation
of this project.
Ministry of Health will be responsible for the overall implementation of the project and coordination
of the project stakeholders, while the practical aspects of stakeholders’ coordination will be
performed by the BC Project Leader. Steering Committee meetings will be regularly held during the
project implementation and will include representatives of relevant institutions participating in the
project.
This project is not expected to lead to the change of the institutional framework described above.
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The beneficiary institution will dedicate all necessary human and financial resources in order to
guarantee an effective implementation of the respective project. In particular, the beneficiary
institution will insure the availability of the following provisions:
Adequately equipped office space for the RTA and the RTA assistant for the entire duration of
their secondment (in particular a desk, a telephone line, PC with e-mail account and internet
access, possibility to use fax & copy services);
Adequate conditions for the STEs to perform their work while on mission to the BC;
Training and conference venues as well as presentation and interpretation equipment;
Costs for travel by BC participants from their capitals to a MS or between MS (study visits);
Its active involvement in preparation of the PIU and Steering Committee meetings and
participation of its members on the same;
The availability of the BC human resources (BC experts) during the implementation of the
activities.
5. Budget
Education of mentors for nurses
and midwives in Health System
in Croatia and full
implementation of the
educational curriculums adjusted
with Directive 2005/36/EC (CRO
NURSE)
Transition Facility
Contribution
National
Co-financing TOTAL
Twinning Contract 95%
655.500,00 EUR
5%
34.500,00 EUR
690.000,00 EUR
The total amounts of the Transition Facility Contribution and National Co-financing stipulated in the
above table represent the total maximum amounts and therefore, they may be reduced at the level of
the Twinning contract, while the relevant ratio (percentages) should be maintained as fixed.
The co-financing requirement foreseen under Transition Facility will be considered fulfilled
according to the provision of the relevant Financing Decision.
Interpretation costs will be reimbursed from the budget only for the purpose of workshops and
seminars, up to 7% of the Contract amount can be used for translation and interpretation purposes.
6. Implementation Arrangements
6.1 Implementing Agency responsible for tendering, contracting and accounting:
Central Finance and Contracting Agency (CFCA)
Ulica grada Vukovara 284
10000 Zagreb, Croatia
Ms Nataša Mikuš Žigman, Director
Phone: +385 1 6042 400
Fax: +385 1 6042 598
E-mail: procurement@safu.hr
Twinning Administrative Office
Central Finance and Contracting Agency
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Ulica grada Vukovara 284
10000 Zagreb, Croatia
Ms Nirvana Sokolovski, Twinning NCP
Phone: +385 1 6042 400
Fax: +385 1 6042 598
E-mail: twinning@safu.hr
6.2 Main counterpart in the BC:
Deputy Senior Programme Officer
Mr Željko Miličević
Ministry of Health
Ksaver 200a
10 000 Zagreb, Croatia
Phone: +385 1 459 6129
Fax: +385 1 460 7691
E-mail: zeljko.milicevic@miz.hr
Project Leader Counterpart
Ms Dijana Cimera, Assistant Minister
Ministry of Health
Ksaver 200a
10 000 Zagreb, Croatia
RTA Counterpart
Ms Marija Kadović, Special Advisor to Minister for Nursing
Assistant Director and Main Nurse of the Clinical Hospital Merkur
Clinical Hospital Merkur
Zajčeva 19
10 000 Zagreb, Croatia
6.3 Contracts:
It is envisaged that the Project will be implemented thorough one Twinning contract with the
maximum amount of 690.000,00 EUR.
7. Implementation Schedule (indicative)
7.1 Launching of the call for proposals: 4Q 20159
7.2 Start of project activities: 3Q 2016
7.3 Project completion: 3Q 2017
7.4 Duration of the execution period (number of months): 15 months; the execution period will end 3
months after the implementation period of the Action (work plan) which will take 12 months.
9 Member States submitting proposals for Twinning projects implemented in Croatia, as well as the beneficiary institutions, will
be requested to finalise drafting of the contracts in maximum four months regardless of the period of the year during which the
drafting will take place.
14
8. Sustainability
The Twinning project will give all necessary analyses and recommendations for improvement of the
educational programmes for nurses and midwives. New criteria for selection of mentors for nurses
and midwives will be developed and mentors for nurses and midwives will be selected based on the
developed criteria.
Based on the analyses of the current educational programmes for nurses and midwives as well as
training needs analyses of nurses, midwives and their mentors, the educational plans, programmes
and materials for mentors of nurses and midwives will be developed. These documents will be
developed in a manner to enable mentors to provide future trainings for nurses and midwives.
Regional trainings of mentors for nurses and midwives will be conducted with the purpose to
strengthen capacities of mentors who will upon the end of the project further disseminate the
obtained knowledge. Moreover, the experts directly working with the MS Twinning partners during
the Twinning project implementation will also obtain first-hand experience on the MS mentoring
system and the best EU practices. After the trainings, evaluation of trainings will be conducted and
evaluation report will be prepared with recommendations related to implementation of educational
programmes. The project will contribute to improvement of the overall system of mentoring at the
national level and increase of the quality of education established for nurses and midwives.
9. Crosscutting issues
Based on the fundamental principles of promoting equality and combating discrimination,
participation in the project will be guaranteed on the basis of equal access regardless of sex, racial or
ethnic origin, religion or belief, disability, age or sexual orientation.
10. Conditionality and sequencing
Precondition:
The new Ordinance on Internship for Health Workers was adopted in 2011 (Official Gazzette – OG
2/11, 14/13) and thus, the precondition for implementation of this project was fulfilled.
Sequencing:
The overall project “Education of mentors for nurses and midwives in Health System in Croatia and
full implementation of the educational curriculums adjusted with Directive 2005/36/EC” is divided
into two components (Twinning and Supply). The training activities envisaged under the Twinning
component will be implemented after procurement of the equipment through the Supply component
due to the fact that the above mentioned equipment is needed for conducting trainings.
15
ANNEXES TO PROJECT FICHE
1. Logical framework matrix in standard format
2. Detailed implementation chart
3. Contracting and disbursement schedule by quarter for full duration of programme (including
disbursement period)
16
Annex 1. Logical framework matrix in standard format
Education of mentors for nurses and midwives in Health System in Croatia and full
implementation of the educational curriculums adjusted with Directive 2005/36/EC (CRO
NURSE)
Programme name and number:
Transition Facility IPA/2013/24986
(Annex of C(2013) 8057 final)
Ministry of Health Contracting period expires:
3 years from the day on which the
Commission notifies the Republic
of Croatia that all of its internal
procedures necessary for the
adoption of this Decision have been
fulfilled.
Disbursement period expires:
4 years following the expiration of the
contracting deadline.
Total budget:
690.000,00 EUR
EU financing:
655.500,00 EUR (95%)
National co-financing:
34.500,00 EUR (5%)10
Overall objective Objectively Verifiable Indicators Sources of Verification
The overall objective of the project is to
improve the health system and health
services in the Republic of Croatia.
Increased number of educated nurses and
midwives according to the new educational
programme harmonised with Directive
2005/36/EC
Relevant EC reports
Relevant national reports
Ministry of Health reports,
publications and statistics
Ministry of Science, Education
and Sport annual reports,
publications and statistics
Project purpose Objectively Verifiable Indicators Sources of Verification Assumptions
The purpose of the project is to improve
the quality of education of nurses and
midwives by training their mentors and
improving the mentoring system.
The mentoring system for nurses and
midwives at national level established
Nurses and midwives on the national level
are getting adequate theoretical and
practical mentoring according to the
Ministry of Health reports,
publications and statistics
Ministry of Science, Education
and Sport annual reports,
publications and statistics
Adequate political support and
sufficient institutional capacity for
implementation of the operation
Continues Governmental support to
institutional capacity building and
10
The total amounts of the Transition Facility Contribution and National Co-financing stipulated in the above table represent the total maximum amounts and therefore, they may be reduced at the level of the Twinning
contract, while the relevant ratio (percentages) should be maintained as fixed. The co-financing requirement foreseen under Transition Facility will be considered fulfilled according to the provision of the relevant Financing Decision.
17
Directive 2005/36/EC
Twinning project reports
Educational (training) plans,
programmes and materials
Documentation produced under
project (analysis reports,
recommendations, training
evaluation reports, etc.)
Lists of participants on trainings
and study visits
Training certificates
Study visit reports
support by the State budget
Adequate financial and human
resources and adequate coordination
between all relevant authorities
A clear line of decision making process
and good cooperation and collaboration
between all stakeholders in relation to
recommendations produced under the
project
Good horizontal collaboration among
different institutions responsible for
coordination, organization and
implementation of the educational
programmes for nurses and midwives
Stakeholders correctly identified and
fully involved in the project
implementation
Active participation of all stakeholders
involved in the project implementation
Sufficient number of mentors willing
to participate in the project activities
Timely implementation of the Supply
component of the overall project
Sufficient capacities on the side of the
Ministry of Health to coordinate project
activities (strengthened Project
Implementation Unit of the Ministry)
Appropriate working environment
ensured by the Ministry of Health for
the project team
Results Objectively Verifiable Indicators Sources of Verification Assumptions
Result 1: Educational plan and programme
for mentors of nurses prepared
Mentors for nurses selected
Analysis of the current educational
programmes for nurses conducted and
analysis report with recommendations
prepared
TNA analysis of nurses and mentors for
nurses conducted and TNA report
Ministry of Health reports,
publications and statistics
Ministry of Science, Education
and Sport annual reports,
publications and statistics
Twinning project reports
Educational (training) plans,
Adequate political support and
sufficient institutional capacity for
implementation of the operation
Continues Governmental support to
institutional capacity building and
support by the State budget
Adequate financial and human
resources and adequate coordination
18
Result 2: Educational plan and programme
for mentors of midwives prepared
Result 3: The mentoring system for nurses
at national level improved
Result 4: The mentoring system for
midwives at national level improved
prepared
Educational plan and programme,
including educational materials for nurses
prepared
Mentors for midwives selected
Analysis of the current educational
programmes for midwives conducted and
analysis report with recommendations
prepared
TNA analysis of midwives and mentors
for midwives conducted and TNA report
prepared
Educational plan and programme,
including educational materials for
midwives prepared
Trainings for at least 80 mentors for
nurses organized and conducted
Study visit for 10 experts conducted and
study visit report prepared
Evaluation of the trainings conducted and
evaluation report with recommendations
related to implementation of educational
programme prepared
The mentoring system for nurses at
national level improved
Trainings for at least 40 mentors for
midwives organized and conducted
Study visit for 6 experts conducted and
study visit report prepared
Evaluation of the trainings conducted and
evaluation report with recommendations
related to implementation of educational
programmes and materials
Documentation produced under
project (analysis reports,
recommendations, training
evaluation reports, etc.)
Lists of participants on trainings
and study visits
Training certificates
Study visit reports
between all relevant authorities
A clear line of decision making process
and good cooperation and collaboration
between all stakeholders in relation to
recommendations produced under the
project
Good horizontal collaboration among
different institutions responsible for
coordination, organization and
implementation of the educational
programmes for nurses and midwives
Stakeholders correctly identified and
fully involved in the project
implementation
Active participation of all stakeholders
involved in the project implementation
Sufficient number of mentors willing
to participate in the project activities
Timely implementation of the Supply
component of the overall project
Sufficient capacities on the side of the
Ministry of Health to coordinate project
activities (strengthened Project
Implementation Unit of the Ministry)
Appropriate working environment
ensured by the Ministry of Health for
the project team
19
programme prepared
The mentoring system for midwives at
national level improved
Activities Means Specification of costs Assumptions
1.1 Developing criteria for selection of
mentors for nurses; selecting mentors for
nurses based on the developed criteria
1.2 Conducting analysis of the current
educational programmes for nurses and
preparing analysis report with
recommendations
1.3 Conducting TNA analysis of nurses
and mentors for nurses and preparing TNA
report
1.4 Preparing educational plan and
programme, including educational
materials, for mentors of nurses through
train-the-trainers system
2.1 Developing criteria for selection of
mentors for midwives; selecting mentors
for midwives based on the developed
criteria
2.2 Conducting analysis of the current
educational programmes for midwives and
preparing analysis report with
recommendations
2.3 Conducting TNA analysis of midwives
and mentors for midwives and preparing
TNA report
2.4 Preparing educational plan and
programme, including educational
materials, for mentors of midwives
through train-the-trainers system
3.1 Organizing and conducting regional
trainings for at least 80 mentors for nurses
in Zagreb, Split, Rijeka and Osijek
3.2 Conducting one study visit for 10
Analysis
Consultation
Discussion
Workshop
Preparation of documentation
Training
Evaluation
Study visit
Twinning contract
690.000,00 EUR
In line with the assumptions specified for
results.
20
experts working with MS Twinning
partners on preparation of educational plan
and programme for mentors of nurses and
preparing study visit report
3.3 Conducting evaluation of the trainings
and preparing evaluation report with
recommendations related to
implementation of educational programme
3.4 Improving the mentoring system for
nurses at national level
4.1 Organizing and conducting regional
trainings for at least 40 mentors for
midwives in Zagreb, Split, Rijeka and
Osijek
4.2 Conducting one study visit for 6
experts working with MS Twinning
partners on preparation of educational plan
and programme for mentors of midwives
and preparing study visit report
4.3 Conducting evaluation of the trainings
and preparing evaluation report with
recommendations related to
implementation of educational programme
4.4 Improving the mentoring system for
midwives at national level
Preconditions:
The new Ordinance on Internship for
Health Workers was adopted in 2011
(Official Gazzette – OG 2/11, 14/13) and
thus, the precondition for implementation
of this project was fulfilled.
21
Annex 2. Detailed implementation chart
Education of mentors for nurses and
midwives in Health System in Croatia
and full implementation of the
educational curriculums adjusted with
Directive 2005/36/EC (CRO NURSE)
2015 2016
2017
Month N D J F M A M J J A S O N D J F M A M J J A S O
Twinning T T T T C C C C C A/I I I I I I I I I I I I R R R
T – Call for proposals and evaluation
C – Contracting
A/I – Arrival of the RTA/ Start of the implementation of activities
I – Implementation of activities
R – Report
22
Annex 3. Contracting and disbursement schedule by quarter for full duration of programme (including disbursement period)
Education of mentors for nurses and midwives in
Health System in Croatia and full implementation of
the educational curriculums adjusted with Directive
2005/36/EC (CRO NURSE)
Cumulative contracting schedule by quarters in EUR
(provisional)
2016
I II III IV
Twinning 690.000,00
TOTAL (EUR): 690.000,00
Education of mentors for
nurses and midwives in
Health System in Croatia
and full implementation
of the educational
curriculums adjusted with
Directive 2005/36/EC
(CRO NURSE)
2016
2017
I II III IV I II III IV
Twinning
538.536,59
151.463,41
TOTAL (EUR):
538.536,59
690.000,00